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NPI Code Detail

MEDICARE: MS. JACQUELINE GRIGGS BARCLAY APRN

MEDICARE: MS. JACQUELINE GRIGGS BARCLAY APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner3005803KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962656850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JACQUELINE GRIGGS BARCLAY APRN
Provider Business Mailing Address
First Line : 1350 BULL LEA RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1247
Country : US
Telephone Number : 859-246-8000
Fax Number : 859-246-8032
Provider Business Practice Location Address
First Line : 1350 BULL LEA RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1247
Country : US
Telephone Number : 859-246-8000
Fax Number : 859-246-8032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 08/05/2014

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